Journal of Ophthalmology 

About: Journal of Ophthalmology is an academic journal published by Hindawi Publishing Corporation. The journal publishes majorly in the area(s): Visual acuity & Glaucoma. It has an ISSN identifier of 2090-004X. It is also open access. Over the lifetime, 2515 publications have been published receiving 38125 citations.

Diabetic cataract-pathogenesis, epidemiology and treatment.

Abstract: Cataract in diabetic patients is a major cause of blindness in developed and developing countries. The pathogenesis of diabetic cataract development is still not fully understood. Recent basic research studies have emphasized the role of the polyol pathway in the initiation of the disease process. Population-based studies have greatly increased our knowledge concerning the association between diabetes and cataract formation and have defined risk factors for the development of cataract. Diabetic patients also have a higher risk of complications after phacoemulsification cataract surgery compared to nondiabetics. Aldose-reductase inhibitors and antioxidants have been proven beneficial in the prevention or treatment of this sightthreatening condition in in vitro and in vivo experimental studies. This paper provides an overview of the pathogenesis of diabetic cataract, clinical studies investigating the association between diabetes and cataract development, and current treatment of cataract in diabetics.

Risk factors for central and branch retinal vein occlusion: a meta-analysis of published clinical data

Abstract: Retinal vein occlusion (RVO) is a major cause of vision loss. Of the two main types of RVO, branch retinal vein occlusion (BRVO) is 4 to 6 times more prevalent than central retinal vein occlusion (CRVO). A basic risk factor for RVO is advancing age. Further risk factors include systemic conditions like hypertension, arteriosclerosis, diabetes mellitus, hyperlipidemia, vascular cerebral stroke, blood hyperviscosity, and thrombophilia. A strong risk factor for RVO is the metabolic syndrome (hypertension, diabetes mellitus, and hyperlipidemia). Individuals with end-organ damage caused by diabetes mellitus and hypertension have greatly increased risk for RVO. Socioeconomic status seems to be a risk factor too. American blacks are more often diagnosed with RVO than non-Hispanic whites. Females are, according to some studies, at lower risk than men. The role of thrombophilic risk factors in RVO is still controversial. Congenital thrombophilic diseases like factor V Leiden mutation, hyperhomocysteinemia and anticardiolipin antibodies increase the risk of RVO. Cigarette smoking also increases the risk of RVO as do systemic inflammatory conditions like vasculitis and Behcet disease. Ophthalmic risk factors for RVO are ocular hypertension and glaucoma, higher ocular perfusion pressure, and changes in the retinal arteries.

Microperimetric Assessment after Epiretinal Membrane Surgery: 4-Year Follow-Up

Abstract: Purpose. To investigate retinal function using microperimetry in patients affected by idiopathic epiretinal membrane (iERM) and cataract who underwent combined surgery: 4-year follow-up. Design. Prospective, interventional case series. Methods. 30 eyes of 30 consecutive patients with iERM and age-related cataract underwent 25-gauge vitrectomy and cataract surgery. At baseline, 90 and 180 days, and 1 and 4 years, we examined retinal mean sensitivity (MS), retinal mean defect (MD), fixation stability, and frequency of microscotomas using MP1 microperimetry. Best-corrected visual acuity (BCVA) and central retinal thickness (CRT) using a spectral domain optical coherence tomography (SD-OCT) were also performed. Results. All patients completed 1-year follow-up, while 23 patients reached last follow-up. Baseline MS and MD (10.48 ± 4.17 and -9.18 ± 4.40 dB) significantly changed at one year (12.33 ± 3.66 and -7.49 ± 3.31 dB, p < 0.01), at four years (14.18 ± 3.46 and -4.66 ± 2.85, p < 0.01), and between one and four years (p < 0.01) after surgery. Compared to baseline, CRT and BCVA significantly changed at one year and remained stable at four years. No variations were observed in fixation stability and frequency of microscotomas compared to baseline. Conclusions. Long-term follow-up using microperimetry seems useful to evaluate patients after iERM surgery: retinal sensitivity changes even when BCVA and CRT remain stable.

Eye Movement Control

Abstract: is well-known that eye movements are central to visual perception [1]. Visual acuity decreases dramatically in the periphery of vision, and precise eye movements to specific locations are vital to foveate objects of interest and identify them with high accuracy [1–4]. Given the importance of eye movements for visual perception, there has been a surge of interest in the topic, with numerous studies being conducted to clarify the variables that determine our eye movements (for a historical review see [5]). In fact, Google Scholar shows that eye movements are discussed in over a million publications, and a Web of Science search reveals 17,000 publications with eye movement in the title or abstract. As shown in Figure 1, the number of publications with eye movement in the title or abstract has also steadily increased over years, culminating in about 200 papers published in 2013. Figure 1 The number of publications with the “eye movement” in the title or abstract, according to a Web of Science search 2014. Despite the surge of interest in eye movements, many questions remain unresolved. This is also reflected in this special issue on eye movement control. First, there are a variety of different eye movements [2, 4]. Among the most widely known eye movements are the fast, ballistic saccades (including superfast express saccades) (e.g., B. de Gelder et al., this issue), smooth-pursuit eye movements (J. N. van der Geest et al., this issue), and vergence eye movements (e.g., P. M. Grove et al., this issue) required to fixate objects at different depths. Less well-known and yet intensely researched are microsaccades, tremor, slow drift, and vestibuloocular and optokinetic eye movements that stabilize gaze during motions of the head and motions of large regions of the image on the retina [2, 4]. Secondly and more importantly for the current special issue, eye movements are also controlled by a variety of different factors [1, 4]. Apart from being subject to diverse muscular and ocular constraints, successful voluntary control over eye movements critically depends on the quality of the visual input, which in turn depends on a variety of internal and external factors [1, 6, 7]. The contributions to the present special issue clarify key elements of both internal and external factors in eye movement control (G. W. Alpers et al., U. Ansorge et al., B. de Gelder et al., P. M. Grove et al., D. R. Hardwick et al., W. E. Huddlestone et al., J. Kassubek et al., A. Khan et al., A. Piras et al., N. D. Smith et al., J. N. van der Geest et al., and D. Venini et al., this issue). In the present contributions, eye movements have also been used to provide new insights into ocular and neurological disorders (J. Kassubek et al., N. D. Smith et al., this issue) and shed new light on the relationship between covert attention and eye movements (e.g., G. W. Alpers et al., U. Ansorge et al., D. R. Hardwick et al., and A. Khan et al., this issue; see also [6–9]). Together, the papers in this special issue provide a timely update on eye movement control that reflects current hot topics in the field, spanning the range from cognitive science over applied psychology to clinical psychology and neuroscience. Stefanie I. Becker Gernot Horstmann Arvid Herwig

An Update on the Genetics of Usher Syndrome

Abstract: Usher syndrome (USH) is an autosomal recessive disease characterized by hearing loss, retinitis pigmentosa (RP), and, in some cases, vestibular dysfunction. It is clinically and genetically heterogeneous and is the most common cause underlying deafness and blindness of genetic origin. Clinically, USH is divided into three types. Usher type I (USH1) is the most severe form and is characterized by severe to profound congenital deafness, vestibular areflexia, and prepubertal onset of progressive RP. Type II (USH2) displays moderate to severe hearing loss, absence of vestibular dysfunction, and later onset of retinal degeneration. Type III (USH3) shows progressive postlingual hearing loss, variable onset of RP, and variable vestibular response. To date, five USH1 genes have been identified: MYO7A (USH1B), CDH23 (USH1D), PCDH15 (USH1F), USH1C(USH1C), and USH1G(USH1G). Three genes are involved in USH2, namely, USH2A (USH2A), GPR98 (USH2C), and DFNB31 (USH2D). USH3 is rare except in certain populations, and the gene responsible for this type is USH3A.